Psychiatrics

Question 1

Mental health Section 2

1983- 2007

Answer 1

28days
Assessment of a suspected disorder
Applied for by mental health practitioner who has seen patient within 14 days with recommendation from dr who has seen within 5 days
Right to appeal within 14days

Question 2

Mental health section 3

Answer 2

6 months but can be renewed
Tx for diagnosed disorder
Right to appeal once ever 6months
Tx reviews ever 3 and 6 months

Question 3

Mental health section 4

Answer 3

Duration 72 hours with view of converting to section 2/3
Admission in an emergency
Applied for by AMHP or relative with Dr recommendation
No right to appeal

Question 4

Mental health section 5 (2)

Answer 4

72 hours
Prevent patient leaving hospital - inpatient environment
No appeal

Question 5

5 (4)

Answer 5

6 hours

Same as 5(2) but instead psychiatric nurses can use this to detain patients when dr not available

Question 6

135

Answer 6

72hours
Allows police to enter patients property to take them to a safe place.
One time use , need a warrant next time

Question 7

136 section

Answer 7

Allows police to take person from public place to place of safety if suspected disorder

Question 8

Nausea and diarrhoea
Agitated and restless
Citalopram and recently started mitazapine
High temp, 120 HR, confused and hallucinating, sweating, tremor and exaggerated reflexes

Answer 8

Serotonin syndrome
Potentially fatal
SSRI and NaSSA(noradrenaline specific serotonin antidepressant)

Question 9

Typical antipsychotics SEs

Answer 9

Extrapyramidal 
D2 blockage - parkinsonian movement and akathisia 
QT prolongation 
Hypotension 
Hyperprolactinaenimia

Question 10

Atypical antipsychotics SEs

Answer 10

Metabolic disturbances
Weight gain, DM, lipid changes

QT prolongation
Sedation

Risperidone - hyperprolactineamia
- sexual disfunction
Clozapine - neutropenia